Tuesday, December 21, 2010

Hepatitis C: Coffee and More Coffee

Also See;
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Coffee Is A Good Thing Folks
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In August of 2010 data from a case-control study showed that: moderate coffee consumption significantly reduced the risk of HCC by almost half in chronic HBV.
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In November of this year at the AASLD meeting in Boston a presentation evaluated the relationship between drinking coffee and the response to HCV anti-viral treatment .
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The Conclusion: Pre-treatment coffee intake was independently associated with improved virologic response during peginterferon alfa-2a and ribavirin in the HALT-C trial.
"daily coffee consumption of 3 or more cups was associated with 25.8% SVR vs 20.7% for 1- less then 3 cups and 12.7% for less then 1 cup and these are all statistically significant. Coffee increased EVR & week20 responses too"
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A study from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), published in the January 2010 issue of Hepatology; has shown that in people with chronic hepatitis C virus who drink about two and a quarter cups of coffee (with caffeine) daily had milder liver fibrosis. However, researchers found that other beverages containing caffeine did not have the same effects.
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The Dec 8th 2010 Abstract below suggests greater than three cups of coffee is associated with reduced histological activity .
Drink Up !
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, Association Of Caffeine Intake and Histological Features of Chronic Hepatitis C.
J Hepatol. 210 Dec 8.Costentin CE, Roudot-Thoraval F, Zafrani ES, Medkour F, Pawlotsky JM, Mallat A, Hézode C.

AP-HP, Service d'Hépatologie et de Gastroentérologie, Groupe Hospitalier Henri Mondor-Albert Chenevier, Créteil, 94000 France.


AbstractRational The severity of chronic hepatitis C (CHC) is modulated by host and environmental factors. Several reports suggest that caffeine intake exerts hepatoprotective effects in patients with chronic liver disease.
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The aim of this study was to evaluate the impact of caffeine consumption on activity grade and fibrosis stage in patients with CHC.
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Methods 238 treatment-naı¨ve patients with histologically-proven CHC were included. Demographic, epidemiological, environmental, virological and metabolic features were collected, including daily consumptions of alcohol, cannabis, tobacco and caffeine during the six month preceding liver biopsy.
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Daily caffeine consumption was estimated as the sum of mean intakes of caffeinated coffee, tea and caffeine-containing sodas.
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Histological activity grade and fibrosis stage were scored according to Metavir. Patients (154 men, 84 women, mean age: 45±11 years) were categorized according to caffeine consumption quartiles: group 1 (less then 225 n="59)," n="57)," n="62)" more then 678 mg/day, n=60).
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Results
There was a significant inverse relationship between activity grade and daily caffeine consumption: Activity grade more then A2 was present in 78%, 61%, 52% and 48% of patients in group 1, 2, 3 and 4, respectively (p less then 0.001). more then A2 (OR=0.32 (0.12-0.85)).
Caffeine intake showed no relation with the fibrosis stage.
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Conclusions
Caffeine consumption greater than 408 mg/day (3 cups or more) is associated with reduced histological activity in patients with CHC. These findings support potential hepatoprotective properties of caffeine in chronic liver diseases.

Copyright © 2010. Published by Elsevier B.V.
PMID: 21145804
[PubMed - as supplied by publisher]

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